caa a22 4500 606153624 CHVBK 20210128100554.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s11121-014-0529-4 doi (NATIONALLICENCE)springer-10.1007/s11121-014-0529-4 A Theory-Based Intervention to Improve Breast Cancer Awareness and Screening in Jamaica [Elektronische Daten] [Chidinma Anakwenze, Evelyn Coronado-Interis, Maung Aung, Pauline Jolly] Despite declines in breast cancer mortality rates in developed countries, mortality rates remain high in Jamaica due to low levels of screening and lack of early detection. We hypothesized that a theory-based health educational intervention would increase awareness of breast cancer and intention to screen among women in Western Jamaica. Two hundred and forty six women attending hospitals or clinics were enrolled in an educational intervention consisting of a pretest, breast cancer presentation, and posttest if they had never been screened or had not been screened in 5years or more. The questionnaires assessed attitudes and knowledge of risk factors and symptoms related to breast cancer. Participants were followed approximately 6months after the intervention to determine whether they accessed breast cancer screening. There were statistically significant increases (p < 0.0001) in the percentage of correct knowledge responses and in participants' intention to screen from pretest to posttest. The greatest posttest improvements were among items measuring knowledge of breast cancer screening tests and risk factors. Of the 134 women who were reached by phone for post-intervention follow-up, 30 women (22.4%) were screened for breast cancer and 104 women (77.6%) had not been screened. The use of a theory-based educational intervention positively influenced knowledge of breast cancer risk factors, symptoms, and types of screening and increased screening rates in screening-naïve women. This theory-based educational intervention may be replicated to promote awareness of breast cancer and further increase screening rates in other areas of Jamaica and other developing countries. Society for Prevention Research, 2014 Early detection of cancer nationallicence Follow-up studies nationallicence Health behavior nationallicence Jamaica nationallicence Breast neoplasms nationallicence Anakwenze Chidinma School of Medicine, University of Alabama at Birmingham, Ryals Public Health Building 217K, 1665 University Blvd, 35294, Birmingham, AL, USA aut Coronado-Interis Evelyn School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA aut Aung Maung Epidemiology and Research Unit, Western Regional Health Authority, Montego Bay, Jamaica aut Jolly Pauline School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA aut Prevention Science Springer US; http://www.springer-ny.com 16/4(2015-05-01), 578-585 1389-4986 16:4<578 2015 16 11121 https://doi.org/10.1007/s11121-014-0529-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11121-014-0529-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Anakwenze Chidinma School of Medicine, University of Alabama at Birmingham, Ryals Public Health Building 217K, 1665 University Blvd, 35294, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Coronado-Interis Evelyn School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Aung Maung Epidemiology and Research Unit, Western Regional Health Authority, Montego Bay, Jamaica aut NATIONALLICENCE 700 1- Jolly Pauline School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA aut NATIONALLICENCE 773 0- Prevention Science Springer US; http://www.springer-ny.com 16/4(2015-05-01), 578-585 1389-4986 16:4<578 2015 16 11121